Vascularized bone grafting from the base of the second metacarpal for persistent distal radius nonunion: A case report

Scott A. Crow, Lan Chen, Jonathan H. Lee, Melvin P. Rosenwasser

Research output: Contribution to journalArticle

8 Scopus citations

Abstract

Although fractures of the distal radius are relatively common, nonunion is a rare complication. We report a case of a distal radius nonunion in a healthy 51-year-old woman who was involved in a motor vehicle accident. Initial attempts to treat the nonunion with open reduction and internal fixation and corticocancellous bone grafting from the iliac crest failed. Preservation of wrist motion was of considerable importance and wrist arthrodesis was deferred. Treatment of the nonunion with a vascularized bone graft from the base of the second metacarpal, combined with biplanar stable fixation and allogenic bone graft, resulted in union of the fracture and a good functional outcome.

Original languageEnglish (US)
Pages (from-to)483-486
Number of pages4
JournalJournal of Orthopaedic Trauma
Volume19
Issue number7
DOIs
StatePublished - Aug 1 2005

Keywords

  • Distal radius fracture
  • Persistent nonunion
  • Vascularized bone graft

ASJC Scopus subject areas

  • Surgery
  • Orthopedics and Sports Medicine

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